State Of Idaho-dba Idaho State School & Hospital Pharmacy
Institutional Pharmacy
1660 11th Ave N, Nampa
Idaho, 83687-5000
208-442-2812 208-467-3406
State Of Idaho-dba Idaho State School & Hospital Pharmacy is not a DME supplier for medicare equipments and products.
State Of Idaho-dba Idaho State School & Hospital Pharmacy is a Institutional Pharmacy in Nampa, Idaho. It is located at 1660 11th Ave N, Nampa and it's customer support contact number is 208-442-2812. The authorized person of State Of Idaho-dba Idaho State School & Hospital Pharmacy is Susan Broetje who is Administrative Director of the pharmacy and his contact number is 208-442-2812. Active license number of State Of Idaho-dba Idaho State School & Hospital Pharmacy is 539-HP for Institutional Pharmacy in Idaho.
State Of Idaho-dba Idaho State School & Hospital Pharmacy is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
State Of Idaho-dba Idaho State School & Hospital Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | State Of Idaho-dba Idaho State School & Hospital Pharmacy |
| Type: | Institutional Pharmacy |
| Location: | 1660 11th Ave N, Nampa, Idaho, 83687-5000 |
| Phone: | 208-442-2812 |
| Fax: | 208-467-3406 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Susan Broetje |
| Position: | Administrative Director |
| Contact Number: | 208-442-2812 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1265559314 |
| NPI Enumeration Date: | 23 Mar, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Of Idaho-dba Idaho State School & Hospital Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Institutional Pharmacy | 539-HP | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0028335600 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1660 11th Ave N, Nampa, Idaho |
| Zip: | 83687-5000 |
| Phone Number: | 208-442-2812 |
| Fax Number: | 208-467-3406 |
Patients can reach State Of Idaho-dba Idaho State School & Hospital Pharmacy at
1660 11th Ave N, Nampa, Idaho or can
call on customer care at 208-442-2812.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.